Dehydration isn’t a big worry for most pregnant women, but for some women, it can become quite dangerous. Dehydration for anyone can cause weakness and sickness, but during pregnancy, it can also cause harm to your unborn baby or a spontaneous miscarriage.

Most of the time, dehydration during pregnancy occurs in the first trimester while the mother-to-be is dealing with morning sickness. When a woman experiences nausea and is unable to keep much of anything she eats down, including water, becoming dehydrated is very easy to do. Vomitting can deprive the body of the fluids and vitamins that it needs in order to stay healthy and to keep the baby hydrated.

Pregnant women will often end up in the hospital, and may need to be hooked up to an IV in order to be rehydrated when they are severely sick. A hospital stay can sometimes run to several days while the doctors try to get her vomiting under control. The biggest fear at this point is there not being enough amniotic fluid for the baby to grow in. Without enough amniotic fluid your baby could have deformities of the feet, legs and arms.

Later in pregnancy, during the second or third trimester, if a woman becomes dehydrated either from being sick, being too active and not drinking enough water, or during the summer months when it is very hot, it can cause different kinds of problems for both the mom-to-be and the baby. Dehydration often leads to premature labor as your uterus will start contracting. If you think this might be the case, try drinking at least two big glasses of water and laying down to rest to see if the contractions stop. Call your doctor or midwife as well to see what they suggest.

It is just as important to drink your eight glasses of water a day while pregnant as it is when you are not pregnant. Not only do you need to do it for your health, but you must do it for the health of your unborn baby as well.

Whether it is their first pregnancy, or they have been pregnant before, many women have heard the term “hCG” while they are either trying to conceive, or shortly after they conceive, but they don’t necessarily know what it means.

In the medical world, hCG is short for Human chorionic gonadotropin which is a hormone that a woman makes when she is pregnant. It can be detected in a urine sample or a blood sample as early as 10 days before your period should start. However, it can take until several days after you miss your period for these levels to be high enough that they can be detected.

The hCG hormone helps sustain a woman’s pregnancy until the second trimester when the placenta starts functioning fully and takes over. It also helps create the testes, secretes estrogen, and helps develop the placenta.

For women who have faced infertility issues, or who have had problems with miscarriages, doctors will routinely draw blood to check the hCG levels 2-3 times a week in early pregnancy. This is because hCG is supposed to at least double in a 48 hour period until it reaches a certain level, when it starts to decline. If the levels are doubling, it is often a sign that the pregnancy is viable and progressing as normal. If there is only a small rise in the number, no rise in the number, or a drop, it can be the first sign to a doctor or midwife that this pregnancy may not last through the first trimester.

There is no “norm” in the range for hCG levels in a pregnancy. They generally fall into this range.

If hCG levels are taken and they not only double, but triple, quadruple or more, this is often a sign that there is more than one baby in the uterus. When a woman is pregnant with multiples, her hormones will rise much faster than they do when it is just a single pregnancy.

If you have questions about your hCG levels, be sure to ask your doctor or midwife. They are the only ones who can correctly test, judge, and give you answers regarding the health of your pregnancy.

Amniocentesis, also referred to as simply an ‘amnio’, is a test that many women are offered and some take advantage of while pregnant. It is a test that analyzes the amniotic fluid that surrounds your baby while in utero. The amniotic fluid contains cells that match your baby’s and can give your doctor or midwife little clues and hints about your baby.

Amniocentesis is normally performed when a woman is between 15 weeks and 18 weeks pregnant. To perform amniocentesis your doctor or midwife will hook you up to an ultrasound machine and then insert a needle through your belly into the uterus and remove approximately 2 tablespoons of fluid to test and analyze. An amniocentesis can also be performed when you are 37 weeks or later in order to check your baby’s lungs and determine if they are mature enough for the baby could breathe on his own outside of the womb.

Amniocentesis is normally performed on women who are at high risk for a various number of reasons. These reasons might include

• Advanced maternal age (35 or older)
• Diabetes
• Previous children with medical problems at birth
• Abnormal triple screen results
• RH factor

Not only can amniocentesis determine if your baby is healthy or has any medical problems, but it can also unmistakeably determine the gender of your baby. For couples who want to know, ahead of the birth if they are having a boy or girl, is a pleasant and exciting plus to the amnio.

Amniocentesis is not done as a routine procedure during pregnancy because it does carry some risks. About 1 in 200 pregnancies will end in a miscarriage caused by the amniocentesis procedure. Therefore, an amnio is only performed when previous tests or ultrasounds suggest that there is a possibility of a severe medical problem. Even when this possibility exists, some women exercise their option of not having the test, and wait till their baby is born to deal with any problems he may or may not have. If you are not sure which choice is best for you, talk to your doctor or midwife.

When a woman believes she might be pregnant, the quickest way to find out is via a urine test, either at the doctor’s office or by purchasing an over-the-counter pregnancy test from a drug store. Once a woman confirms she is pregnant she should make an appointment with her doctor or midwife for a pelvic exam and pap smear.

Once a woman is about six weeks pregnant, or four weeks after conception, a doctor can tell if she is pregnant by doing a pelvic exam. In the pelvic exam, the doctor will check for the size of the ovaries, fallopian tubes and uterus, and can tell by the size how far the pregnancy has developed. During the pelvic exam, the doctor will also check the cervix for a hint of blue coloring which appears when a woman is pregnant.

At one of the first appointments during the first trimester a woman will also be given the option of having a pap smear done. Pap smears are recommended once every 12 months for women, but are not generally done after the first trimester, and then not again until about six weeks after your baby is born. A pap smear is done by a doctor taking a sample of the cells around the outer edge of the cervix to test for precancerous cells. If caught early enough cervical cancer can often be avoided.

Some women who have recently had a pap smear done or have a history of miscarriages or problems during pregnancy will turn down a pap smear, which can irritate the cervix. If you are unsure about whether or not you should have a pap smear, tell your doctor about your history and ask his or her opinion on the subject.

by Ellen M. DuBois, excerpted from “I Never Held You”Who could I blame for this? Did I do something wrong? Did that glass of wine I had before I even knew I was pregnant somehow hurt my baby? Did that slip on the ice have anything to do with it? What about the cigarettes I smoked? Or, or, or..

It’s a very natural thing to blame yourself when you suffer a miscarriage. I did. I wracked my brain in a futile attempt to come up with some answers. Anything. Nothing the doctor said could convince me that there wasn’t something I did to make this happen.

So, I prolonged my suffering. By blaming myself I only made things worse. It was not my fault- just as it’s not your fault that you’ve miscarried. No, that glass of wine or beer you had did not cause your miscarriage. No, the argument you had with your husband did not cause you so much stress that you miscarried. No, the unhealthy food you ate from a fast food restaurant didn’t do it either. Please, stop knocking yourself and blaming yourself for this. I know you need answers. You want some sort of justification for your pain and loss. But, when you continually find, or try to find blame within yourself, you are hurting yourself over and over again…

About the Author
Ellen M. DuBois is a multi-published author in the fiction, nonfiction, inspirational and poetry genres. She resides in Massachusetts, and is also a singer/songwriter. To learn more about Ellen’s books and projects, please visit her website at ellendubois.com

By Ellen M. DuBoisTo the woman who has miscarried, the world may seem a very dreary place. One in which she feels no one understands her pain, grief, sadness. The baby she lost was as real as her tears, yet, because there was never a baby seen, her loss often is quickly dismissed or not validated for what it is: a loss like any other.

The woman who has miscarried is just like me. I miscarried in 1991 and my days were spent weeping over my empty womb and arms for months on end. There were no Internet support groups; no books that spoke to my pain; and although people were concerned, their focus was more on me than on the baby lost.

“The fetus is no longer viable”. Those were the words I heard one terrible day in May. I was four-and-a-half months pregnant and noticed some spotting. My sister accompanied me to the hospital, and in a very tiny room, lit only by the image of my dead baby on the ultrasound screen, the doctor told me my baby had ‘expired’.

When my baby died, all the hopes, wishes and dreams I had for my child died, too. It felt like the rug was ripped from under my feet and I had no solid ground to stand upon. No matter where I looked for support, I found none- other than from well meaning family and friends. Still, I felt alone. Where was the person, book or group that could tell me I wasn’t nuts for grieving over a baby nobody ever knew? Why couldn’t somebody tell me I had every right to mourn the loss of the baby I never held?

That’s what prompted me, ten years after my miscarriage, to write a small e-book called I Never Held You. Women from around the world downloaded the booklet which described the stages I went through after my miscarriage- from grief and self-blame to letting go and moving on. Five years later, I teamed up with a Psychologist and Grief Counselor, expanded my book into paperback and included sound advice on grief and more from Dr. Linda Backman, who lived the experience some thirty-years ago.

My mission has become one of reaching women who’ve suffered a miscarriage and feel like I once did: alone, isolated, and full of tears.

Validating a woman’s grief after miscarriage won’t take away her pain, but it will make her feel less crazy and far more understood. Through connection comes awareness. Through awareness comes a stronger voice. Through a stronger voice come the masses saying: Miscarriage is a very real loss and needs to be treated as such. We, the women who have miscarried need your help, support, understanding and validation of our pain.

It’s happening. Books are available and the Internet has opened countless doors to support once invisible. The over one million women in the US alone who suffer a miscarriage are finally being heard, as are those worldwide. I am honored to be a part of bringing about the realization that miscarriage is a monumental loss, but there is help, hope and most importantly, healing after miscarriage. You are not alone, I promise.

About the Author
Ellen M DuBois is the author of Jackie’s Heart, and I Never Held You, a book about miscarriage, healing and recovery gently guides a women who has miscarried through the processes of grief and the emotional roller coaster ride following with the help of Psychologist and Grief Counselor Dr. Linda Backman, who also wrote the foreword. Ellen DuBois is also a contributing author in: More God Allows U-Turns, Conquering Panic and Anxiety Disorders, Sisters by Blue Mountain Arts, Soul Matters for Teens, and Romancing the Soul.